Top Health Care Fraud Schemes

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Busted: The top healthcare fraud schemes of Q3 2023

(3 days ago) WEBBusted: The top healthcare fraud schemes of Q3 2023. As we review the third quarter of 2023, we’re confronted with a resurgence of fraud, waste, and abuse (FWA) cases that continue to target both public and private payers. These cases persistently employ a …

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-healthcare-fraud-schemes-of-q3-2023

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DOJ announces 78 people charged over $2.5 billion in false health …

(5 days ago) WEBThe Justice Department on Wednesday announced a nationwide health care fraud crackdown that resulted in charges against 78 defendants in separate …

https://abcnews.go.com/Politics/doj-announces-78-people-charged-nationwide-health-care/story?id=100447219

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Justice Department Charges Dozens for $1.2 Billion in …

(3 days ago) WEBPrior to the charges announced as part of today’s nationwide enforcement action and since its inception in March 2007, the Health Care Fraud Strike Force, which …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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2023 Nationwide Health Care Fraud Enforcement Action

(8 days ago) WEBThe Department of Health and Human Services, Office of Inspector General participated alongside key law enforcement partners in the 2023 Nationwide Health …

https://oig.hhs.gov/newsroom/media-materials/2023-nationwide-health-care-fraud-enforcement-action/

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2021 National Health Care Fraud Enforcement Action

(8 days ago) WEB9 defendants are alleged to have engaged in various health care fraud schemes that exploited the COVID-19 pandemic which resulted in the submission of …

https://www.justice.gov/criminal/criminal-fraud/2021-national-health-care-fraud-enforcement-action

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Justice Department charges 78 in multibillion-dollar …

(Just Now) WEBThe Justice Department announced charges against 78 people related to health care fraud schemes. Federal and state law enforcement offices brought criminal …

https://www.npr.org/2023/06/28/1184795720/78-people-face-charges-for-2-5-billion-in-attempted-health-care-fraud-doj-says

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Health Care Fraud — FBI

(8 days ago) WEBThe FBI is the primary agency for investigating health care fraud, for both federal and private insurance programs. The FBI investigates these crimes in partnership with: Federal, state, and local

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

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Busted: The top fraud schemes of Q2 2023

(2 days ago) WEBWith help from the National Health Care Anti-Fraud Association (NHCAA), we have compiled a list of significant FWA cases that emerged between April and June 2023.

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-fraud-schemes-of-q2-2023

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Federal and State Agencies Crack Down on Health Care …

(7 days ago) WEBThe enforcement action, which involved agencies including the Federal Bureau of Investigation and the Department of Health and Human Services’ Office of Inspector …

https://jamanetwork.com/journals/jama/fullarticle/2807424

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10 popular health care provider fraud schemes - Fraud …

(7 days ago) WEB(Also see the ACFE's 2013 Fraud Examiners Manual's section on health care fraud — beginning with 1.1101 — to learn more about these and other types of fraud schemes.) Ten common health care provider fraud …

https://www.fraud-magazine.com/article.aspx?id=4294976280

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DOJ targets nationwide health care fraud scheme involving over …

(9 days ago) WEBCNN —. The Justice Department announced a sweeping enforcement effort Wednesday aimed at health care, telemedicine and illegal prescription schemes …

https://www.cnn.com/2023/06/28/politics/doj-health-care-fraud-scheme/index.html

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Ten charged in business email compromise and money laundering …

(9 days ago) WEBNovember 18, 2022 — The U.S. Department of Justice announced charges today against 10 defendants in multiple states in connection with multiple business email compromise …

https://www.irs.gov/compliance/criminal-investigation/ten-charged-in-business-email-compromise-and-money-laundering-schemes-targeting-medicare-medicaid-and-other-victims

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Dozens in 16 States Charged With Health Care Fraud Schemes, …

(6 days ago) WEBWASHINGTON (AP) — The Justice Department has charged dozens of people in several health care fraud and prescription drug schemes, including one …

https://www.usnews.com/news/business/articles/2023-06-28/dozens-in-16-states-charged-with-health-care-fraud-schemes-including-1-9b-in-bogus-claims

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2020 National Health Care Fraud Takedown - Office of Inspector …

(8 days ago) WEBThe Department of Health and Human Services Office of Inspector General, along with our state and federal law enforcement partners, participated in a health care …

https://oig.hhs.gov/newsroom/media-materials/2020takedown/

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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WEBPROVIDENCE, R.I. – A registered nurse and nurse practitioner, who defrauded commercial health insurers and Medicare of nearly $12 million by devising …

https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/press-releases/nurse-practitioner-sentenced-twelve-million-dollar-health-care-fraud-scheme

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Office of Public Affairs National Enforcement Action Results in 78

(1 days ago) WEBThe Justice Department, together with federal and state law enforcement partners, announced today a strategically coordinated, two-week nationwide law …

https://www.justice.gov/opa/pr/national-enforcement-action-results-78-individuals-charged-25b-health-care-fraud

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Man Pleads Guilty in Connection to $50 Million Health Care Fraud

(3 days ago) WEBManishkumar Patel has pleaded guilty in connection with a $50 million health care fraud and kickback scheme, according to the Justice Department Friday. Patel, …

https://news.bloomberglaw.com/white-collar-and-criminal-law/man-pleads-guilty-in-connection-to-50-million-health-care-fraud

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Chicago chiropractor convicted in $750,000 health care fraud …

(2 days ago) WEBSHARE. CHICAGO — A Chicago chiropractor has been found guilty of healthcare fraud in connection with a scheme that prosecutors say netted him around …

https://wgntv.com/news/chicagocrime/chicago-chiropractor-convicted-in-750000-health-care-fraud-scheme/

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Medical lab owner from Aventura charged in fraud scheme

(9 days ago) WEBThe 47-year-old and the other two defendants were each charged with conspiracy to commit health care fraud and wire fraud, three counts of health care …

https://www.bizjournals.com/southflorida/news/2024/04/26/aventura-medical-lab-owner-charged-fraud-scheme.html

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Bergen NJ counseling center owner admits health care fraud

(7 days ago) WEBThe owner of a New Jersey counseling center admitted to her role in a health care fraud scheme involving hundreds of false claims, U.S. Attorney Philip R. …

https://www.northjersey.com/story/news/bergen/garfield/2024/03/19/bergen-county-nj-counseling-center-owner-health-care-fraud/73033753007/

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Lavaca man sentenced in $134 million COVID-19 health care fraud …

(4 days ago) WEBA Lavaca, Arkansas, man was sentenced today to 15 years in prison followed by three years of supervised release and ordered to pay $29,835,825.99 in restitution for …

https://www.irs.gov/compliance/criminal-investigation/lavaca-man-sentenced-in-134-million-covid-19-health-care-fraud-and-money-laundering-scheme

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Corruption trap: Why healthcare fraud is costing you money

(Just Now) WEBApril 25, 2024. Fraud is driving up the costs of healthcare services, but Discovery Health has a plan to get their money back. (Envato) Fraudsters seeing gaps …

https://bhekisisa.org/health-beat-shorts/2024-04-25-corruption-trap-why-healthcare-fraud-is-costing-you-money/

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DOJ Announces Coordinated Law Enforcement Action to Combat …

(1 days ago) WEBThe Department of Justice today announced criminal charges against 14 defendants, including 11 newly-charged defendants and three who were charged in …

https://www.justice.gov/opa/pr/doj-announces-coordinated-law-enforcement-action-combat-health-care-fraud-related-covid-19

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Lawsuit alleges ACA plan-switching scheme - Health News Florida

(Just Now) WEBA wide-ranging lawsuit filed this past week outlines a moneymaking scheme with Broward County ties by which large insurance sales agency call centers enrolled …

https://health.wusf.usf.edu/health-news-florida/2024-04-17/lawsuit-alleges-aca-plan-switching-scheme-targeted-low-income-consumers

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Former Social Security Administration Employee Facing Federal …

(4 days ago) WEBAccording to court documents, Markham was employed by the SSA and assigned to an office based in Anderson, Indiana. Between February 13, 2019, and June …

https://www.shorenewsnetwork.com/2024/04/27/former-social-security-administration-employee-facing-federal-charges-for-fraudulent-telework-emergency-childcare-and-medical-leave-schemes/

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2023 Nationwide COVID-19 Health Care Fraud Enforcement Action

(5 days ago) WEBThis action resulted in criminal charges brought against doctors and providers for false billings and Provider Relief Fund (PRF) fraud, manufacturers of fake COVID-19 …

https://oig.hhs.gov/newsroom/media-materials/2023-covid-takedown/

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Florida, California, and Texas Men Indicted in Alleged $36M COVID …

(6 days ago) WEBThe Innovative Genomics lab was a cog in a much larger machine, as the Health Care Fraud Strike Force Program has charged over 5,400 defendants who have …

https://hoodline.com/2024/04/florida-california-and-texas-men-indicted-in-alleged-36m-covid-19-testing-fraud-scheme/

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Corruption trap: Why healthcare fraud costs you money - TimesLIVE

(3 days ago) WEBFraud costs the healthcare industry up to R28bn a year, according to the Council of Medical Schemes. File photo. Four in 10 South Africans say corruption is one …

https://www.timeslive.co.za/news/2024-04-26-bhekisisa-watch-corruption-trap-why-healthcare-fraud-costs-you-money/

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Laboratory Owners Charged in $36M COVID-19 Testing Fraud …

(Just Now) WEBAn indictment was unsealed today in the Southern District of Florida charging three men for their alleged roles in an approximately $36 million health care fraud, wire …

https://www.justice.gov/opa/pr/laboratory-owners-charged-36m-covid-19-testing-fraud-scheme

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29 Activities to Avoid After 75 - MSN

(5 days ago) WEBActivities like walking, swimming, or practicing yoga can provide substantial health benefits, including improved cardiovascular health, better balance, and reduced stress while …

https://www.msn.com/en-us/health/wellness/29-activities-to-avoid-after-75/ar-BB1jLtUb

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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District of New Jersey Four Men Indicted for Their Roles in $35

(3 days ago) WEBJeffrey Andrews, 68, of Bryn Mawr, Pennsylvania; Chad Beene, 47, of Philadelphia; and Adam Brosius, 55, and Robert Schneiderman, 77, both of Langhorne, …

https://www.justice.gov/usao-nj/pr/four-men-indicted-their-roles-35-million-pharmacy-compounded-medication-scheme

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Two Doctors Sentenced for $4M Fraudulent Urine Drug Testing …

(2 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, …

https://www.justice.gov/opa/pr/two-doctors-sentenced-4m-fraudulent-urine-drug-testing-scheme

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